Tom Dolise

NPI #1710237094 in Lindenhurst, New York

Provider Information

NPI Number: 1710237094
Entity Type: Individual
Name: Tom Dolise
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - School
Enumeration Date: Sep 14, 2012
Last Updated: Sep 14, 2012

Practice Location

Address: 350 S WELLWOOD AVE
City: Lindenhurst
State: New York
ZIP Code: 11757-4928
Phone: (631) 867-6531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - School — School	1041S0200X	Primary

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